Care Manager for Care Management Services

CHSGa•Metter, GA

About The Position

The Care Manager serves as a liaison between members and home and community-based service providers to facilitate quality, cost-effective care and outcomes. The role provides education and support to members and their families about community resources and services, and builds collaborative relationships with primary care providers, managed care plan providers, HCBS providers, caregivers, and families. The Care Manager maintains regular contact with members through phone calls and home visits, monitors their wellbeing, and adjusts care plans as needed. The role documents interventions and member information in accordance with payer and organizational guidelines, collaborates with internal teams to support continuity of care, and identifies and resolves care plan variances and barriers to care. The Care Manager also supports member engagement, monitors service quality, participates in community outreach, helps train and onboard team members, and contributes to organizational committees and projects. After-hours on-call rotation participation may be assigned.

Requirements

Bachelor’s degree in social work or a related human services field.
Two years of work experience.
Effective verbal and written communication skills.
Empathy and compassion when supporting clients.
Knowledge of community resources and how to connect clients with them.
Ability to collaborate with professionals and agencies.
Problem-solving and critical-thinking skills.
Organization and time-management skills for managing cases, appointments, and documentation.
Cultural competence and respect for diverse cultures.
Advocacy skills to represent clients’ needs and support access to services.
Knowledge of ethical guidelines and legal frameworks relevant to social work.
Ability to read and interpret safety rules, operating and maintenance instructions, and procedure manuals.
Ability to write routine reports and correspondence and speak effectively before groups.
Ability to perform basic arithmetic using whole numbers, common fractions, and decimals.
Ability to apply common-sense understanding to written, oral, or diagrammed instructions and address problems involving several concrete variables in standardized situations.
Proficiency with Microsoft Outlook, Microsoft Excel, and Microsoft Word.

Nice To Haves

Experience in social work, home and community-based services, healthcare, or geriatrics is preferred.

Responsibilities

Act as a liaison between members and home and community-based service providers to facilitate quality and cost-effective care and outcomes.
Educate and support members and their families regarding community resources and services.
Build collaborative relationships with primary care providers, managed care plan providers, HCBS providers, caregivers, and families.
Communicate regularly with members through phone calls and home visits to monitor wellbeing and adjust care plans as needed.
Record and document interventions and member information completely and accurately in accordance with payer and organizational guidelines.
Collaborate with internal team members, including the Central Intake and Assessment Team, to ensure continuity of care.
Identify and resolve care plan variances, including barriers to primary and specialized medical care.
Assess and address member engagement and behavior to support optimal health and functional status.
Participate in after-hours on-call rotation requirements as assigned.
Monitor service quality in collaboration with the Quality Assurance and Education Team and Care Management Director.
Participate in community outreach as outlined in the Quarterly Outreach plan.
Support the training and onboarding of new team members.
Promote the image and reputation of the System through servant leadership and direct, open communication.
Contribute professionally to committees, workgroups, project management, and other collaborative efforts.
Perform other duties as necessary to ensure the success of the System.